Author Question: Identify anatomic structures that are found in the right lower quadrant. (Select all that apply.) ... (Read 93 times)

tichca · **on:** Jun 25, 2018

Identify anatomic structures that are found in the right lower quadrant. (Select all that apply.)

a. Sigmoid colon
b. Portion of the ascending colon
c. Portion of the descending colon
d. Distended bladder
e. Enlarged uterus

Question 2

Laboratory results come back on a newly admitted patient

They are as follows: serum BUN, 64 mg/dL; serum creatinine, 2.4 mg/dL; urine osmolality, 210 mOsm/kg; specific gravity, 1.002; and urine sodium, 96 mEq/L. The urine output has been 120 mL since admission 2 hours ago. These values are most consistent with which of the following diagnoses?

a. Prerenal failure
b. Postrenal failure
c. Oliguric renal failure
d. Acute kidney injury (AKI)

spencer.martell · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B, D, E
The right lower quadrant includes the lower pole of the right kidney, cecum and appendix, portion of the ascending colon, bladder (if distended), ovary and salpinx, uterus (if enlarged), right spermatic cord, and right ureter. The sigmoid colon and portion of the descending colon are found in the left lower quadrant.

Answer to Question 2

D
Urinary sodium less than 10 mEq/L (low) suggests a prerenal condition. Urinary sodium greater than 40 mEq/L (in the presence of an elevated serum creatinine and the absence of a high salt load) suggests intrarenal damage has occurred. The urine output does not seem to suggest oliguria. The other options do not fit the data as presented.